Pine Street Inn At Shattuck in Jamaica Plain, MA

Pine Street Inn At Shattuck is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Jamaica Plain, Massachusetts. The current practice location for Pine Street Inn At Shattuck is 170 Morton St, Jamaica Plain, Massachusetts. For appointments, you can reach them via phone at (617) 983-0351. The mailing address for Pine Street Inn At Shattuck is 780 Albany St, Boston, Massachusetts and phone number is (857) 654-1227.

Pine Street Inn At Shattuck is licensed to practice in Massachusetts (license number 4LQX). The clinic also participates in the medicare program and its NPI number is 1962645572. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (617) 983-0351.

Contact Information

	Pine Street Inn At Shattuck
	170 Morton St Jamaica Plain MA 02130
	(617) 983-0351
	(617) 971-3121

Map and Direction

Primary Care Clinic Profile

Full Name	Pine Street Inn At Shattuck
Speciality	Clinic/Center
Location	170 Morton St, Jamaica Plain, Massachusetts
Authorized Official Name and Position	Agnes W Leung (CHIEF FINANCIAL OFFICER)
Authorized Official Contact	8576541200
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Pine Street Inn At Shattuck 780 Albany St Boston MA 02118-2755 Ph: (857) 654-1227	Pine Street Inn At Shattuck 170 Morton St Jamaica Plain MA 02130 Ph: (617) 983-0351

NPI Details:

NPI Number	1962645572
Provider Enumeration Date	04/13/2009
Last Update Date	05/23/2018

Medicare PECOS Information:

Medicare PECOS PAC ID	2668475419
Medicare Enrollment ID	O20080718000562

Medical Identifiers

Medical identifiers for Pine Street Inn At Shattuck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962645572	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	4LQX (Massachusetts)	Primary

Reviews and Comments

Clinic/Center in Jamaica Plain, MA

Lemuel Shattuck Hosp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Brewer St, Jamaica Plain, MA 02130 Phone: 617-522-1710
Lemuel Shattuck Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 Morton Street, Jamaica Plain, MA 02130 Phone: 617-522-8110 Fax: 617-971-3850
Dhirendra S Bana, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1153 Centre St Ste 5935, Jamaica Plain, MA 02130 Phone: 617-524-3700 Fax: 617-524-5839
Urban Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 545a Centre St, Jamaica Plain, MA 02130 Phone: 617-522-5464 Fax: 617-524-2966
Lemuel Shattuck Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 Morton Street, Jamaica Plain, MA 02130 Phone: 617-522-8110 Fax: 617-971-3850
Atreva Health Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 770 Centre St, Jamaica Plain, MA 02130 Phone: 617-524-2121 Fax: 617-524-3810
Men's Stabilization Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 Morton St, Men's Stabilizaton, Jamaica Plain, MA 02130 Phone: 617-983-0351 Fax: 617-522-0217

Pine Street Inn At Shattuck - Medicare Primary Care in Jamaica Plain, MA